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§27-35-2.5  Acquisitions involving insurers not otherwise covered. –


Published: 2015

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TITLE 27

Insurance

CHAPTER 27-35

Insurance Holding Company Systems

SECTION 27-35-2.5



   § 27-35-2.5  Acquisitions involving

insurers not otherwise covered. –

(a) Definitions. The following definitions shall apply for the purposes

of this section only:



   (1) "Acquisition" means any agreement, arrangement or

activity the consummation of which results in a person acquiring directly or

indirectly the control of another person, and includes but is not limited to,

the acquisition of voting securities, the acquisition of assets, bulk

reinsurance and mergers.



   (2) An "involved insurer" includes an insurer which either

acquires or is acquired, is affiliated with an acquirer or acquired, or is the

result of a merger.



   (b) Scope.



   (1) Except as exempted in paragraph (2) of this subsection,

this section applies to any acquisition in which there is a change in control

of an insurer authorized to do business in this state.



   (2) This section shall not apply to the following:



   (a) A purchase of securities solely for investment purposes

so long as the securities are not used by voting or otherwise to cause or

attempt to cause the substantial lessening of competition in any insurance

market in this state. If a purchase of securities results in a presumption of

control under subsection 27-35-1(c), it is not solely for investment purposes

unless the commissioner of the insurer's state of domicile accepts a disclaimer

of control or affirmatively finds that control does not exist and the

disclaimer action or affirmative finding is communicated by the domiciliary

commissioner to the commissioner of this state;



   (b) The acquisition of a person by another person when both

persons are neither directly nor through affiliates primarily engaged in the

business of insurance, if pre-acquisition notification is filed with the

commissioner in accordance with subdivision 27-35-2.5(c)(1) thirty (30) days

prior to the proposed effective date of the acquisition. However, such

pre-acquisition notification is not required for exclusion from this section if

the acquisition would otherwise be excluded from this section by any other

subparagraph of subdivision 27-35-2.5(b)(2);



   (c) The acquisition of already affiliated persons;



   (d) An acquisition if, as an immediate result of the

acquisition,



   (i) In no market would the combined market share of the

involved insurers exceed five percent (5%) of the total market,



   (ii) There would be no increase in any market share, or



   (iii) In no market would



   (I) The combined market share of the involved insurers exceed

twelve percent (12%) of the total market, and



   (II) The market share increase by more than two percent (2%)

of the total market.



   For the purpose of section (2)(d), a market means direct

written insurance premium in this state for a line of business as contained in

the annual statement required to be filed by insurers licensed to do business

in this state;



   (e) An acquisition for which a pre-acquisition notification

would be required pursuant to this section due solely to the resulting effect

on the ocean marine insurance line of business;



   (f) An acquisition of an insurer whose domiciliary

commissioner affirmatively finds that the insurer is in failing condition;

there is a lack of feasible alternative to improving such condition; the public

benefits of improving the insurer's condition through the acquisition exceed

the public benefits that would arise from not lessening competition; and the

findings are communicated by the domiciliary commissioner to the commissioner

of this state.



   (c) Pre-acquisition Notification; Waiting Period. An

acquisition covered by subsection 27-35-2.5(b) may be subject to an order

pursuant to subsection 27-35-2.5(e) unless the acquiring person files a

pre-acquisition notification and the waiting period has expired. The acquired

person may file a pre-acquisition notification. The commissioner shall give

confidential treatment to information submitted under this subsection in the

same manner as provided in § 27-35-6.



   (1) The pre-acquisition notification shall be in such form

and contain such information as prescribed by the NAIC relating to those

markets which, under subdivision 27-35-2.5(b)(2)(d), cause the acquisition not

to be exempted from the provisions of this section. The commissioner may

require such additional material and information as deemed necessary to

determine whether the proposed acquisition, if consummated, would violate the

competitive standard of subsection 27-35-2.5(d). The required information may

include an opinion of an economist as to the competitive impact of the

acquisition in this state accompanied by a summary of the education and

experience of such person indicating his or her ability to render an informed

opinion.



   (2) The waiting period required shall begin on the date of

receipt of the commissioner of a pre-acquisition notification and shall end on

the earlier of the thirtieth day after the date of receipt, or termination of

the waiting period by the commissioner. Prior to the end of the waiting period,

the commissioner on a one-time basis may require the submission of additional

needed information relevant to the proposed acquisition, in which event the

waiting period shall end on the earlier of the thirtieth day after receipt of

the additional information by the commissioner or termination of the waiting

period by the commissioner.



   (d) Competitive Standard.



   (1) The commissioner may enter an order under subdivision

27-35-2.5(e)(1) with respect to an acquisition if there is substantial evidence

that the effect of the acquisition may be substantially to lessen competition

in any line of insurance in this state or tend to create a monopoly or if the

insurer fails to file adequate information in compliance with subsection

27-35-2.5(c).



   (2) In determining whether a proposed acquisition would

violate the competitive standard of paragraph (1) of this subsection, the

commissioner shall consider the following:



   (a) Any acquisition covered under subsection 27-35-2.5(b)

involving two (2) or more insurers competing in the same market is prima facie

evidence of violation of the competitive standards.



   (i) If the market is highly concentrated and the involved

insurers possess the following shares of the market:



   SEE THE BOOK FOR THE PROPER TABLE.



   (ii) Or, if the market is not highly concentrated and the

involved insurers possess the following shares of the market:



   SEE THE BOOK FOR THE PROPER TABLE.



   A highly concentrated market is one in which the share of the

four (4) largest insurers is seventy-five percent (75%) or more of the market.

Percentages not shown in the tables are interpolated proportionately to the

percentages that are shown. If more than two (2) insurers are involved,

exceeding the total of the two columns in the table is prima facie evidence of

violation of the competitive standard in paragraph (1) of this subsection. For

the purpose of this item, the insurer with the largest share of the market

shall be deemed to be Insurer A.



   (b) There is a significant trend toward increased

concentration when the aggregate market share of any grouping of the largest

insurers in the market, from the two (2) largest to the eight (8) largest, has

increased by seven percent (7%) or more of the market over a period of time

extending from any base year five (5) to ten (10) years prior to the

acquisition up to the time of the acquisition. Any acquisition or merger

covered under subsection 27-35-2.5(b) involving two (2) or more insurers

competing in the same market is prima facie evidence of violation of the

competitive standard in paragraph (1) of this subsection if:



   (i) There is a significant trend toward increased

concentration in the market;



   (ii) One of the insurers involved is one of the insurers in a

grouping of large insurers showing the requisite increase in the market share;

and



   (iii) Another involved insurer's market is two percent (2%)

or more.



   (c) For the purposes of subdivision 27-35-2.5(d)(2):



   (i) The term "insurer" includes any company or group of

companies under common management, ownership or control;



   (ii) The term "market" means the relevant product and

geographical markets. In determining the relevant product and geographical

markets, the commissioner shall give due consideration to, among other things,

the definitions or guidelines, if any, promulgated by the NAIC and to

information, if any, submitted by parties to the acquisition. In the absence of

sufficient information to the contrary, the relevant product market is assumed

to be the direct written insurance premium for a line of business, such line

being that used in the annual statement required to be filed by insurers doing

business in this state, and the relevant geographical market is assumed to be

this state;



   (iii) The burden of showing prima facie evidence of violation

of the competitive standard rests upon the commissioner.



   (d) Even though an acquisition is not prima facie violative

of the competitive standard under paragraphs (2)(a) and (2)(b) of this

subsection, the commissioner may establish the requisite anticompetitive effect

based upon other substantial evidence. Even though an acquisition is prima

facie violative of the competitive standard under sections (2)(a) and (2)(b) of

this subsection, a party may establish the absence of the requisite

anticompetitive effect based upon other substantial evidence. Relevant factors

in making a determination under this subparagraph include, but are not limited

to, the following: market shares, volatility of ranking of market leaders,

number of competitors, concentration, trend of concentration in the industry,

and ease of entry and exit into the market.



   (3) An order may not be entered under subdivision

27-35-2.5(e)(1) if:



   (a) The acquisition will yield substantial economies of scale

or economies in resource utilization that cannot be feasibly achieved in any

other way, and the public benefits which would arise from such economies exceed

the public benefits which would arise from not lessening competition; or



   (b) The acquisition will substantially increase the

availability of insurance, and the public benefits of the increase exceed the

public benefits which would arise from not lessening competition.



   (e) Orders and Penalties.



   (1)(a) If an acquisition violates the standards of this

section, the commissioner may enter an order:



   (i) Requiring an involved insurer to cease and desist from

doing business in this state with respect to the line or lines of insurance

involved in the violation; or



   (ii) Denying the application of an acquired or acquiring

insurer for a license to do business in this state.



   (b) Such an order shall not be entered unless:



   (i) There is a hearing;



   (ii) Notice of the hearing is issued prior to the end of the

waiting period and not less than fifteen (15) days prior to the hearing; and



   (iii) The hearing is concluded and the order is issued no

later than sixty (60) days after the date of the filing of the pre-acquisition

notification with the commissioner.



   Every order shall be accompanied by a written decision of the

commissioner setting forth findings of fact and conclusions of law.



   (c) An order pursuant to this paragraph shall not apply if

the acquisition is not consummated.



   (2) Any person who violates a cease and desist order of the

commissioner under paragraph (1) and while the order is in effect may, after

notice and hearing and upon order of the commissioner, be subject to one or

more of the penalties set forth in § 42-14-16:



   (3) Any insurer or other person who fails to make any filing

required by this section, and who also fails to demonstrate a good faith effort

to comply with any filing requirement, shall be subject to one or more

penalties set forth in § 42-14-16.



   (f) Inapplicable Provisions. Subsections 27-35-8(b),

27-35-8(c), and 27-35-10 do not apply to acquisitions covered under subsection

27-35-2.5(b).



History of Section.

(P.L. 2010, ch. 55, § 2; P.L. 2010, ch. 70, § 2; P.L. 2011, ch. 15,

§ 2; P.L. 2011, ch. 26, § 2.)